The nurse is counseling a couple who just learned their 16-week fetus tested positive for a serious genetic disorder. The couple has decided to continue the pregnancy. Which of the following actions by the nurse would be inappropriate?
Provide additional information about the disorder.
Refer them to a disorder-specific support group.
Determine whether termination has been considered.
Explain they may experience grief, which is normal.
The Correct Answer is C
Choice A rationale
Providing additional information about the disorder is appropriate as it helps the couple understand the condition better and prepare for the future. This information can include the nature of the disorder, potential complications, and available treatments or interventions.
Choice B rationale
Referring the couple to a disorder-specific support group is also appropriate. Support groups can provide emotional support, practical advice, and a sense of community for families facing similar challenges. This can help the couple cope with the diagnosis and connect with others who have similar experiences.
Choice C rationale
Determining whether termination has been considered is inappropriate because the couple has already decided to continue the pregnancy. Bringing up termination at this point can be distressing and may undermine their decision. The nurse should respect their choice and focus on providing support and information relevant to continuing the pregnancy.
Choice D rationale
Explaining that they may experience grief, which is normal, is appropriate. Grief is a common response to learning about a serious genetic disorder in a fetus, and normalizing these feelings can help the couple process their emotions and seek appropriate support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Oligohydramnios refers to a condition where there is too little amniotic fluid. An amniotic fluid volume of 1900 mL is above the normal range, indicating that oligohydramnios is not present.
Choice B rationale
Polyhydramnios is the condition of having too much amniotic fluid. The normal range for amniotic fluid volume at 34 weeks gestation is between 800 and 1000 mL. An estimated volume of 1900 mL indicates polyhydramnios, which can be associated with various maternal and fetal conditions.
Choice C rationale
A follow-up glucose test is not directly indicated by the finding of polyhydramnios. While polyhydramnios can be associated with gestational diabetes, the decision to perform a glucose test would depend on other clinical factors and the patient’s history.
Choice D rationale
An amniotic fluid volume of 1900 mL is above the normal range for 34 weeks gestation, so it is not considered normal for gestational age. This finding indicates polyhydramnios rather than a normal fluid level.
Correct Answer is ["C","E","G"]
Explanation
Choice C rationale
Lower abdominal cramping during early pregnancy can be a sign of various conditions, including normal uterine growth, but it can also indicate potential complications such as an ectopic pregnancy or miscarriage. It is crucial to report this symptom to the provider to rule out any serious issues and ensure the safety of both the mother and the fetus.
Choice E rationale
Vaginal spotting during early pregnancy can be a sign of implantation bleeding, which is usually harmless. However, it can also indicate more serious conditions such as a threatened miscarriage or an ectopic pregnancy. Reporting this symptom to the provider is essential for further evaluation and appropriate management.
Choice G rationale
Dysuria, or painful urination, can be a sign of a urinary tract infection (UTI), which is common during pregnancy due to hormonal changes and the growing uterus pressing on the bladder. UTIs can lead to complications if left untreated, so it is important to report this symptom to the provider for prompt diagnosis and treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.